MEDICARE: ALYSSA ANNA-MARIE NAZARIO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW.09929923	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346719259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA ANNA-MARIE NAZARIO LCSW

Provider Business Mailing Address
First Line	:	3410 LOUISIANA ST APT 3327
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-9560
Country	:	US
Telephone Number	:	813-418-2338
Fax Number	:

Provider Business Practice Location Address
First Line	:	8155 E FAIRMOUNT DR UNIT 821
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-6832
Country	:	US
Telephone Number	:	720-445-5649
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2018
Last Update Date	:	06/10/2025

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